IMA EBONGO FNP
NPI 1992341523
Nurse Practitioner - Family in Miami Gardens, FL

Active since November 19, 2019
300 NW 183RD ST, MIAMI GARDENS, FL 33169(305) 999-0520 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ima Ebongo Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMA EBONGO FNP (NPI 1992341523) is an individual family provider in Miami Gardens, Florida, licensed in Florida (APRN11001398) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1992341523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIMA EBONGOCredential: FNP
Location Address300 NW 183RD STMiami Gardens, FL 33169-4464
Mailing Address300 Nw 183rd StMiami Gardens, FL 33169-4464 · (305) 999-0520
Sole ProprietorYes
Enumeration DateNovember 19, 2019
NPI 1992341523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11001398
300 NW 183RD ST, Miami Gardens, FL 33169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ima Ebongo's NPI number?

The NPI number for Ima Ebongo is 1992341523. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Ima Ebongo located?

Ima Ebongo practices at 300 NW 183rd St, Miami Gardens, FL 33169. The listed phone number is (305) 999-0520.

What is Ima Ebongo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ima Ebongo was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.